Provider Relations Lead (PPM III)

King County   Pioneer Square, WA   Full-time
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Salary
$96,703.57 - $122,577.31 Annually

Location
Seattle, WA

Job Type
Career Service, Full Time, 40 hrs/week

Department
DCHS - Community & Human Srvcs

Job Number
2023AC18277

Division
Behavioral Health and Recovery

Closing
3/25/2023 11:59 PM Pacific

Summary

The Department of Community and Human Services values diverse perspectives and life experiences. The Department encourages people of all backgrounds to apply, including Black, Indigenous, and People of Color, immigrants, refugees, women, LGBTQ, people with disabilities, veterans, and those with lived experiences.

King County's Department of Community and Human Services (DCHS) provides equitable opportunities for people to be healthy, happy, and connected to community.

The primary role of this position is to provide supervision, training and support to the provider relations staff. The position will also support the management and coordination of the expense and revenue contracts, including development, implementation and monitoring. The position will focus on contracts with community-based providers who provide mental health and substance use disorder treatment services utilizing public funds. Provider relations is a strong focus of this position and supports the provider relation team in this role, including supporting provider performance and leading training and technical assistance for the provider community. Incumbents in this position also actively participate in program planning, policy development, and the procurement of network providers.

WHO MAY APPLY: This position is open to all qualified candidates that meet the minimum qualifications. Interviews for this selection process will take place on or around April 12, 2023.

REQUIRED MATERIALS: Candidates who wish to be considered for this position must submit an online King County application and respond to the supplemental questions. Your application may be rejected as incomplete if you do not include the requested and relevant information in the online application and supplemental questionnaire. Applications and/or supplemental questionnaires that state, "see my resume" are considered incomplete and will not be considered to be competitive.

WORK SCHEDULE/CONDITIONS: This position is exempt from the provisions of the Fair Labor Standards Act and is not eligible for overtime. Typical hours are Monday - Friday 8am - 5pm. This position is not represented by a union.

MISSION CRITICAL POSITION STATUS: This position has been designated Non-Mission Critical. Unless otherwise directed by the County Executive, department director or agency head, all employees, regardless of designation, are expected to report to work or request leave during an emergency or inclement weather. For more detailed information, please visit HR Policy County Operations During Emergency Situations and the King County Guidelines for Workforce Management in an Emergency .

TELEWORKING REQUIREMENT: The work associated with this position will be performed through a combination of teleworking complemented with onsite work and meetings as needed. Employees will have access to shared workspaces at various King County facilities. Employees must reside in Washington state and within a reasonable distance to their King County worksite to respond to workplace reporting requirements.

Employees will be provided with a County issued laptop and must maintain a workspace with an internet connection (access may be supplemented in some situations) where they can reliably perform work and remain available and responsive during scheduled work hours. Please note that when an employee conducts work that is likely to bring them in contact with another individual, safety precautions are required , including the wearing of masks in some situations . King County is doing its part to reduce the spread of COVID-19 and remains committed to reducing our carbon footprint.

King County has a robust collection of tools and resources to support working remotely. The individual selected for this opportunity will be joining an innovative and progressive team that is redefining how we work as we transition to the department's hybrid environment.

RECRUITER: Annette Coleman, ancoleman@kingcounty.gov

Job Duties
  • Participate in planning, program development and implementation for the public behavioral health systems in King County.
  • In coordination with the Provider Relations manager, provide supervision of the Provider Relations/Contracts team including employee development and performance management.
  • Develop and negotiate service contracts with network providers and/or Memorandums of Agreement with inter-governmental entities for services outside of the typical service contracts of the Division.
  • Participate with Division leadership and the Contract/Provider Relations Section Coordinator in negotiations with Managed Care Organizations for administrative service contracts.
  • Provide technical guidance and supervision to provider relations staff responsible for developing contract language and supporting provider understanding and performance related to compliance with County State and Federal requirements.
  • Provide leadership to provider relations efforts that support the provider network in achieving performance metrics and alignment with Manage Care Plan models of care.
  • Review and analyze contract terms and make recommendations to Division management on implementation issues, and/or identifying the need for amendments to contracts.
  • Ensure that BHRD contracts comply with King County standards for contracts including compliance with County ordinance and legal and risk management requirements. Additionally assure compliance with state and federal funding and contracting regulations including those from the Washington State Office of Insurance Commissioner.
  • Coordinate the development, implementation, and maintenance of system-level policies and procedures, including the Provider Manual development and maintenance for the behavioral health service delivery system, consistent with state contract and federal requirements including those for behavioral health managed care plans.
  • Gather information and data for the purposes of developing program/policy recommendations and issue/briefing papers on key system issues.
  • Other duties as assigned.
Experience, Qualifications, Knowledge, Skills
  • A minimum of three years of progressively responsible experience working in the public sector or working with publicly funded treatment/human service system(s).
  • A Bachelor degree with coursework in social work, substance use disorders and/or health care services or administration.
  • Knowledge of and experience with services provided under both the King County Integrated Care Network and King County ASO (Administrative Services Organization) and/ or the behavioral health treatment systems in the State of Washington.
  • Demonstrated knowledge of governmental contracting and regulations related to the purchase of services for publicly funded treatment services including knowledge of Medicaid managed care.
  • Demonstrated experience providing technical assistance and training to providers in the behavioral health system.
  • Demonstrated experience providing supervision of both clinical and administrative staff.
  • Demonstrated experience generating and using data for social and/or health care services program evaluation.
  • Demonstrated experience developing and managing budgets including the development of spreadsheet-based tracking systems for program allocations including intermediate to advanced Excel skills.
  • Demonstrated experience working at a policy and planning level with service systems at the local, regional, state or federal level.
  • Proven ability to work effectively with groups that consist of stakeholders who may have markedly different perspectives about a given topic and to lead stakeholder meetings and/or stakeholder planning processes.
  • Three years' experience developing formal working relationships (e.g., Contracts and Memorandums of Understanding, etc.).
  • Demonstrated understanding of Medicaid encounter reporting requirements for the State of Washington.
  • Demonstrated knowledge of legal, risk management and liability issues associated with contracting.
  • Demonstrated knowledge of contractor compliance monitoring and program integrity strategies.
  • Strong oral and written communication skills.
  • Demonstrated experience and ability to manage conflict and communicate effectively as both a manager and a member of a team.
  • Demonstrated experience building an effective team and driving engagement and instilling trust with team members.
  • Demonstrated ability to make sound decisions even with limited information.
  • Demonstrated working knowledge of Microsoft Word for Windows, Microsoft Teams, Excel and Outlook.
  • Valid Washington State Driver's License or the ability to travel throughout the county in a timely manner.
Supplemental Information

Forbes named King County as one of Washington State's best employers.

Together, with leadership and our employees, we're changing the way government delivers service and winning national recognition as a model of excellence. Are you ready to make a difference? Come join the team dedicated to serving one of the nation's best places to live, work and play.

Guided by our "True North" , we are making King County a welcoming community where every person can thrive. We value diversity, inclusion and belonging in our workplace and workforce. To reach this goal we are committed to workforce equity. Equitable recruiting, support, and retention is how we will obtain the highest quality workforce in our region; a workforce that shares and will help advance our guiding principles - we are one team; we solve problems; we focus on the customer; we drive for results; we are racially just; we respect all people; we lead the way; and we are responsible stewards. We encourage people of all backgrounds and identities to apply, including Native American and people of color, immigrants, refugees, women, LGBTQ+, people living with disabilities, and veterans.

King County is an Equal Employment Opportunity (EEO) Employer

No person is unlawfully excluded from employment opportunities based on race, color, religion, national origin, sex (including gender identity, sexual orientation and pregnancy), age, genetic information, disability, veteran status, or other protected class. Our EEO policy applies to all employment actions, including but not limited to recruitment, hiring, selection for training, promotion, transfer, demotion, layoff, termination, rates of pay or other forms of compensation.

To Apply

If you are interested in pursuing this position, please follow the application instructions carefully. If you need this announcement in an alternate language or format, would like to request accommodation or assistance in the application or assessment process or if you have questions please contact the recruiter listed on this job announcement.

King County offers a highly-competitive compensation and benefits package designed to meet the diverse needs of our employees and support our employees' health and well-being. Eligible positions receive the following benefits and have access to the following programs:
  • Medical, dental, and vision coverage: King County pays 100% of the premiums for eligible employees and family members
  • Life and disability insurance: employees are provided basic coverage and given the opportunity to purchase additional insurance for both the employee and eligible dependents
  • Retirement: King County employees are eligible to participate in a pension plan through the Washington State Department of Retirement Systems and a 457(b) deferred-compensation plan
  • Transportation program and ORCA transit pass
  • 12paid holidays each year (plus 2 personal holidays)
  • Generous vacation and paid sick leave
  • Paid parental leave, family and medical leaves, and volunteer leave
  • Flexible Spending Account
  • Wellness programs
  • Onsite gyms and activity centers
  • Employee giving program
  • Employee assistance programs
  • Flexible schedules and telecommuting options, depending on position
  • Training and career development programs
For additional information about employee benefits please visit our Benefits, Payroll, and Retirement Page .

This is a general description of the benefits offered to eligible King County employees, and every effort has been made to ensure its accuracy. If any information on this document conflicts with the provisions of a collective bargaining agreement (CBA), the CBA prevails. Also, in the event of any incorrect information in this document, applicable laws, policies, rules, CBAs, or official plan documents will prevail.

NOTE: Benefits for Term Limited Temporary (TLT) or Short Term Temporary (STT) positions, including leave eligibility and/or participation in the pension plan through the Washington State Department of Retirement Systems, will vary based upon the terms and details of the position.Short Term Temporary positions are not eligible for an ORCA transit pass.

For inquiries about the specifics of this position, please contact the recruiter identified on this job posting.
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King County

Pioneer Square, WA